Form 5500 · Employee benefit plan · LAMONI, IA
GRACELAND UNIVERSITY
The filing calls this plan GRACELAND UNIVERSITY VISION.
GRACELAND UNIVERSITY of LAMONI, IA is a 100-participant education employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through DELTA DENTAL OF IOWA. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-0707114 · plan 503 · plan year 2025, filed Nov 6, 2025
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
The filing discloses a single insured line, vision, through DELTA DENTAL OF IOWA, covering 114 people.
Reported premium across the insured contracts is $13,774, with $1,377 in disclosed broker commissions — about 10% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF IOWA | Vision | 114 | Jun 1, 2025 | $13,774 | $1,377 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Other plans filed by this employer
How this plan compares
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